Cited by 102Indigenous Health, Education, and RightsSuicide and Self-Harm StudiesSubstance Abuse Treatment and Outcomes

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Multi-Level Cultural Intervention for the Prevention of Suicide and Alcohol Use Risk with Alaska Native Youth: a Nonrandomized Comparison of Treatment Intensity

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Qungasvik Team, Allen, James, Rasmus, Stacy M., Fok, Carlotta Ching Ting, Charles, Billy, Henry, David·2018·Prevention Science

DOI 10.1007/s11121-017-0798-9PMC PMC5803385

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Abstract

Suicide and alcohol use disorders are primary determinants of health disparity among Alaska Native people in contrast to the US general population. Qungasvik, a Yup'ik word for toolbox, is a strengths-based, multi-level, community/cultural intervention for rural Yup'ik youth ages 12-18. The intervention uses "culture as intervention" to promote reasons for life and sobriety in young people using local expertise, high levels of community direction, and community based staff. The intervention is grounded in local practices and adaptive to local cultural differences distinctive to rural Yup'ik communities. The current study compares the effectiveness of high-intensity intervention in one community (treatment), operationalized as a high number of intervention activities, or modules, implemented and attended by youth, contrasted to a lower intensity intervention in a second community (comparison) that implemented fewer modules. A Yup'ik Indigenous theory of change developed through previous qualitative and quantitative work guides intervention. In the model, direct intervention effects on proximal or intermediate variables constituting protective factors at the individual, family, community, and peer influences levels lead to later change on the ultimate prevention outcome variables of Reasons for Life protective from suicide risk and Reflective Processes about alcohol use consequences protective from alcohol risk. Mixed effects regression models contrasted treatment and comparison arms, and identified significant intervention effects on Reasons for Life (d = 0.27, p < .05) but not Reflective Processes.

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Additional file 1 of Centering Indigenous knowledge in suicide prevention: a critical scoping review
Sjoblom, E., Ghidei, W., Leslie, M., James, A., Bartel, R., Campbell, S., & Montesanti, S. R. (2024) · Figshare · doi:10.6084/m9.figshare.26555642
Additional file 3 of Centering Indigenous knowledge in suicide prevention: a critical scoping review
Sjoblom, E., Ghidei, W., Leslie, M., James, A., Bartel, R., Campbell, S., & Montesanti, S. R. (2024) · Figshare · doi:10.6084/m9.figshare.26555648
Additional file 2 of Centering Indigenous knowledge in suicide prevention: a critical scoping review
Sjoblom, E., Ghidei, W., Leslie, M., James, A., Bartel, R., Campbell, S., & Montesanti, S. R. (2024) · Figshare · doi:10.6084/m9.figshare.26555645
Additional file 1 of American Indian and Alaska Native violence prevention efforts: a systematic review, 1980 to 2018
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Additional file 1 of Time trends and geographical patterns in suicide among Greenland Inuit
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Authors: Qungasvik Team, Allen, J., Rasmus, S. M., Fok, C. C. T., Charles, B., & Henry, D.
Affiliations: University of Minnesota (US)
University of Alaska Fairbanks (US)
University of Illinois Chicago (US)
Corresponding author: Allen, James
ORCID: Allen, James
Rasmus, Stacy M.
Fok, Carlotta Ching Ting
Venue: Prevention Science
Publisher: Springer Science and Business Media LLC
Published: 2017-08-07
Volume: 19
Issue: 2
Pages: 174-185
ISSN: 1389-4986 (ISSN-L)
1573-6695
DOI: 10.1007/s11121-017-0798-9
PMC: PMC5803385
OpenAlex: W2742519560
Cited by: 102
References: 43
Citations by year: 2026: 6 · 2025: 10 · 2024: 15 · 2023: 10 · 2022: 24 · 2021: 13 · 2020: 11 · 2019: 6 · 2018: 5 · 2017: 1
FWCI: 7.00
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Prevention Science (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Minority Health and Health Disparities (R24MD001626)
National Institute on Alcohol Abuse and Alcoholism (R01AA023754)
National Institute for General Medical Services (P20RR061430)
Topics: Social Sciences › Health › Indigenous Health, Education, and Rights
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: suicide prevention, alcohol prevention, Alaska Native youth, Yup'ik, multilevel interventions, treatment intensity, reflective processes, protective factors, community-based prevention, health disparities, rural indigenous communities
MeSH terms: Underage Drinking, Alaska Natives, Alaskan Natives, Suicide Prevention, Adolescent, Alaska, Child, Female, Humans, Male, Psychometrics, Surveys and Questionnaires, Community Networks, Community-Based Participatory Research

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Multi-Level Cultural Intervention for the Prevention of Suicide and Alcohol Use Risk with Alaska Native Youth: a Nonrandomized Comparison of Treatment Intensity

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